# DEEPAK DUGAR MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053778878
- **Authorized official:** DR. DEEPAK RAJ DUGAR M.D. (CEO)
- **Authorized official phone:** (310) 276-3106

## Contact information

- **Practice address:** 414 N CAMDEN DR, STE 801, BEVERLY HILLS, CA 90210-4532
- **Practice address phone:** (310) 276-3106
- **Mailing address:** 458 N DOHENY DR, \#69132, WEST HOLLYWOOD, CA 90048-1737
- **Mailing address phone:** (310) 276-3106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 134847 | CA | — |
| 207YP0228X | Pediatric Otolaryngology Physician | 134847 | CA | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 134847 | CA | — |
| 207YS0123X | Facial Plastic Surgery Physician | 134847 | CA | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 134847 | CA | — |
| 207YX0602X | Otolaryngic Allergy Physician | 134847 | CA | — |
| 207YX0901X | Otology & Neurotology Physician | 134847 | CA | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 134847 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 01/25/2016